Good morning, I was diagnosed with MCTD at Cleveland Clinic in Feb of 2016 after about 2 years of contending with this disease/ disorder. I have found very little help from local rheumatologist and for the last 6 months or so I have only been basicly trying to keep symptoms under control (hypertension, reflux, fatigue, Raynaud's, pain and so forth) with the assistance of my primary physician, an internist. I chose for the time to stop all immunosuppressive therapy, it was doing more harm than good, I saw little to no improvement. The latest problem I have noticed is that my hemoglobin is lingering around 9-10. With the fatigue already associated with this disorder, I'm bout wiped out. No bleeding can be found after upper and lower endoscopies. Mayo Clinic info states up to 70 % of MCTD patients suffer anemia, but doesn't explains the mechanism. Do any of you folk have an answer as to "how" we become anemic? If you have sources you can direct me to, I would be greatful. Two things I am sure of above all else: this disease is a booger, but God has still blessed me beyond measure!